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Maryland rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $354.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $295.12 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $218.78 / $338.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $363.08